HERS Institute Nomination

Thank you for your HERS Institute nomination. We will contact the nominated individual and provide them with information related to HERS and the HERS Institute. Again, thank you for your nomination. We are grateful for your support of HERS and all of our efforts to create and sustain a diverse network of women leaders in higher education.

Nominee Name and Contact Information

First Name

Last Name

Address

Street

City

State

Zip/Postal Code

Email

Phone Number

Nominee's Employment Information

Nominee's current institution

Please type and select "Not Listed" if your institution does not appear in the menu above.

If you selected "Not Listed," please provide the name of the employer/institution.